Zifukwa za Chisoni Chokhazikika Kwa Zaka Zoposa Zitatu
Chinthu chimodzi chokhumudwitsa kwambiri cha opaleshoni ya hernia ndi kupweteka kwachilendo komwe kumachitika nthawi zina. Zonsezi ndi zosayenera komanso zopweteka kwambiri kuti opaleshoniyo inkafunika kuthetsa ululu, osati kuwonjezera pa izo.
Mwamwayi, muzochitika zochepa chabe, kupweteka sikungakhale kosatha ndipo pamapeto pake kudzathetsa nokha. Kutenga nthawi yaitali kumadalira makamaka msinkhu wa munthu, mtundu wa opaleshoni ntchito, malo ndi kukula kwa herniation, ndi thanzi la munthu aliyense.
Kumvetsetsa Post-Herniorraphy Neuralgia
Kupweteka kwachilendo kosatha, komwe kumatchedwanso post-herniorrhaphy neuralgia, kumatanthauzira ngati ululu wokhudzana ndi mitsempha umene umapitirira kwa miyezi itatu ndipo sungagwirizane ndi chifukwa china chirichonse.
Sizomwe zimakhala zachilendo, makamaka kwa omwe adzichita opaleshoni ya inguinal (groin) . Mogwirizana ndi maphunziro omwe mumatchula, chiƔerengerochi chikhoza kukhala choposa 9 peresenti kapena chapamwamba kuposa 62 peresenti. Nthawi zina, ululu ukhoza kukhala wovuta kwambiri ngati kusokoneza kuyenda, kukhala, kapena kugona.
Kupweteka kumachitika makamaka pamene mitsempha yowonongeka kapena yosweka mu sutures, masamba, kapena mabala opaleshoni. Kupweteka kumeneku kumatchulidwa ngati nthenda ya ubongo ndipo ikhoza kuwonetsa ndi zopweteka zowombera ndi / kapena kuyaka, kupweteka, kupweteka, kapena phokoso-ndi-singano kumva.
Kupweteka kungakhalenso pamutu , kutanthauza kuti zimakhudzana ndi khungu, minofu, kapena minofu mmalo mwa mitsempha.
Ngati zina mwazinthuzi zikutsutsidwa pa opaleshoni, izi zimapangitsa kuti musamangokhalira kugwedeza, kupweteka, kapena kukopa zowawa, nthawi zambiri kuyenda. Nthawi ndi masewera olimbitsa thupi ndi njira yabwino yothetsera ululu wa mtundu umenewu. Sichikhala chokhalitsa.
Ngozi ya Hernia Neuralgia ya Postoperative
Kuopsa kokhala ndi chithandizo cha neuralgia chisanachitike pambuyo poti opaleshoni imatha kusiyana koma kungaphatikizepo izi:
- Mnyamata wamng'ono
- Kukhala mkazi (ngakhale palibe wina wotsimikiza chifukwa chake)
- Atachita opaleshoni m'zaka zitatu zapitazi
- Akuchitidwa opaleshoni kuti akonze opaleshoni yapitayi
- Kuphatikizidwa kwa mitsempha ya Iliohypogastric yomwe imapangitsa chidwi kumapako ndi m'mimba
- Kukonzekera kwa anterior (pafupi ndi herline) hernia
- Matenda kapena zovuta zina zomwe zimachitika pambuyo pake
- Matenda omwe alipo kale
Mwa awa, zaka zikuwoneka kukhala chinthu chimodzi chachikulu. Ndipotu kafukufuku wina anapeza kuti 58 peresenti ya anthu ochepera zaka 40 anali ndi vuto lopwetekedwa pambuyo poyerekezera ndi 14 peresenti kuposa 60. Izi zikutheka chifukwa chakuti achinyamata amakhala otanganidwa kwambiri kusiyana ndi achikulire.
Kuchiza Postoperative Hernia Neuralgia
Kupweteka kwa nthendayi nthawi zambiri kumakhala kochiritsidwa mosagwiritsidwa ntchito ndi mankhwala osokoneza bongo omwe sagwiritsa ntchito mankhwalawa (NSAIDS) monga ibuprofen kapena naproxen. Kupweteka kwakukulu kungafunike mankhwala odzoza opioid .
Ngati izi zikulephera kupereka chithandizo, adokotala angalimbikitse kupuma kwapadera kumene magetsi opangidwa ndi mafunde a wailesi akugwiritsidwa ntchito poyambitsa mitsempha, motero amachepetsa zizindikiro zopweteka kuchokera kumadera omwewo.
Chinthu chochepa kwambiri cha ichi chimatchedwa mitsempha ya mitsempha ndipo imakhudza kugwiritsa ntchito jekeseni wamagetsi kuti iwononge chizindikiro cha ululu kwa kanthawi.
Mawu Ochokera
Ngakhale kupwetekedwa kwachilendo kosatha kungasokoneze moyo wanu ndi umoyo wanu, ndikofunika kukumbukira kuti sikokhalitsa kukhala chikhalire. Pafupifupi 30 peresenti ya milandu, kupweteka kumachoka payekha mkati mwa miyezi isanu ndi umodzi. Pambuyo pazaka zisanu, ocheperapo oposa atatu mwa odwala amakhalabe okhudzidwa.
Ngakhale kuti mankhwala amatha kuthetsa zizindikiro zambiri, kuchita masewero olimbitsa thupi kungathandize kusintha komanso kusinthasintha, zomwe zingathandize kuchepetsa kupweteka kwa nthawi yaitali. Kukhala pansi sikudzatero. Kuwonjezera apo, kutaya mapaundi owonjezerawo kungathandize kuchepetsa nkhawa, makamaka m'madera ozungulira.
Pamapeto pake, kukhala ndi moyo wosankha sikungokupangitsani kukhala wathanzi, kungakuthandizeni kusintha maganizo anu ndikukupatsani njira zothana ndi kupweteka kosalekeza.
Zotsatira:
> Hakeem, A. ndi Shanmugam, V. "Zomwe zikuchitika pakudziƔa ndi kusamalidwa kwa matenda a post-herniorraphy akuvutika kwambiri." World J Surgery Surgery. 2011; 3 (6): 73-81. DOI: 10.4240 / wjgs.v3.i6.73.
> Somaiah, A. ndi Spence, R .. "Kupweteka Kwambiri Pambuyo pa Opaleshoni ya Hernia - Nkhani Yodziwika Yodziwika." Ulster Med J. 2007; 76 (3): 136-40.PMCID: PMC2075594